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ATI CMS FUNDAMENTAL EXAM LATEST
REAL QUESTIONS AND CORRECT
ANSWERS GRADE A
A nurse is assessing an older adult client who has significant tenting of the skin over the forearm. Which of the following factors should the nurse consider as a cause for this finding? (Select all that apply.) A. Thin, parchment-like skin B. Loss of adipose tissue C. Dehydration D. Diminished skin elasticity E. Excessive wrinkling - CORRECT ANSWER B, C, D Ch. 30
A nurse is assessing postoperative circulation of the lower extremities for a client who had knee surgery. The nurse should test which of the following? (Select all that apply.) A. Range of motion B. Skin color C. Edema D. Skin lesions E. Skin temperature - CORRECT ANSWER B, C, E Ch. 30
A nurse is performing skin assessments on a group of clients. Which of the following lesions should the nurse identify as vesicles? (Select all that apply.) A. Acne B. Warts C. Psoriasis D. Herpes simplex E. Varicella - CORRECT ANSWER D, E Ch. 30
A nurse is performing an integumentary assessment for a group of clients. Which of the following findings should the nurse recognize as requiring immediate interventions? A. Pallor B. Cyanosis
Ch 38) A nurse is caring for a client who is been following the facility's routine in bathing in the morning. However at home the client always takes a warm bath just before bedtime. Now the client is having difficulty sleeping at night. Which of the following actions should the nurse take first? A. Rub the client's back for 15 minutes before bedtime B. Offer the client warm milk and crackers at 2100 C. Allow the client to take a bath in the evening D. Ask the provider for sleeping medication - CORRECT ANSWER C Ch 38) The nurse is preparing A presentation at a local community center about sleep hygiene. When explaining rapid eye movement (REM) sleep, which of the following characteristics should the nurse include? (SATA) A. REM sleep provides cognitive restoration B. REM sleep lasts about 90 min C. it is difficult to awaken a person in REM sleep D. sleepwalking occurs during REM sleep E. vivid dreams are common during REM sleep - CORRECT ANSWER A, C, E Ch 38) A nurse is instructing a client who has narcolepsy about measures that might help with self-management. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. I'll add plenty of carbohydrates to my meals. B. I will take a short nap whenever I feel little sleepy. C. I will make sure I stay warm when I am at my desk at work.
D. It is okay to drink alcohol as long as I limited to one drink per day. - CORRECT ANSWER B; Clients who have narcolepsy should take short naps to reduce feelings of drowsiness Ch 39) A nurse is caring for a client who is at high risk for aspiration. Which of the following actions should the nurse take? A. Give the client thin liquids B. Instruct the client to tuck their chin when swallowing C. Have the client use a straw D. Encourage the client to lie down and rest after meals - CORRECT ANSWER B; Tucking the chin when swallowing allows food to pass down the esophagus more easily Ch 39) A nurse is preparing a presentation about basic nutrients for a group of high school athletes. She should explain that which of the following nutrients provides the body with the most energy? A. Fat B. Proteins C. Glycogen D. Carbohydrates - CORRECT ANSWER D Ch 39) The nurse is caring for a client who requires a low residue diet. The nurse should expect to see which of the following foods on the client's meal tray? A. Cooked barley B. Puréed broccoli C. Vanilla custard D. Lentil soup - CORRECT ANSWER C; A low residue diet consists of foods that are low in fiber and easy to digest. Dairy products and eggs are appropriate for a low residue diet.
Ch 40) The nurse is caring for a client who is postoperative. Which of the following interventions should the nurse take to reduce the risk of thrombus development? ( SATA) A. Instruct client not to perform the Valsalva maneuver B. Apply a elastic stockings C. Review laboratory values for total protein level D. Place pillows under the client's knees and lower extremities E. Assist client to change positions often - CORRECT ANSWER B, E Ch 40) A nurse is planning care for a client who was on bedrest. Which of the following interventions should the nurse planned to implement? A. Encourage the client to perform antiembolic exercises every two hours B. Instruct the client to cough and deep breathe every four hours C. Restrict the client's food intake D. Reposition the client every four hours - CORRECT ANSWER A Ch 40) A nurse is evaluating a client understanding of the use of his sequential compression device. Which of the following client statements indicates client understanding? A. This device will keep me from getting sores on my skin. B. This device will keep the blood pumping through my leg. C. With this device on my leg muscles won't get weak. D. This device is going to keep my joints in good shape. - CORRECT ANSWER B Ch 40) A nurse is instructing a client who has an injury of the left lower extremity about the use of a cane. Which of the following instructions should the nurse include? ( SATA)
A. Hold the cane on the right side B. Keep two points of support on the floor C. Place the cane 38 cm in front of the feet before advancing D. After advancing the cane move the weaker leg forward E. Advance the stronger leg so that it aligns evenly with the cane
- CORRECT ANSWER A, B, D Ch. 1) A nurse is discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply.) A. Home health care B. Rehabilitation facilities C. Diagnostic centers D. Skilled nursing facilities E. Oncology centers - CORRECT ANSWER A, B, D Rationale: A. Restorative health care involves immediate follow up care for restoring health and prolonged self-care home healthcare is a type of restorative healthcare B. Rehabilitation facilities are a type of restorative health care D. Skilled nursing facilities are a type of restorative healthcare Ch. 1) A nurse is explaining the various types of health clients might have to a group care coverage of nurses. Which of the following health care financing mechanisms should the nurse include as federally funded? (Select all that apply.) A. Preferred provider organization (PPO) B. Medicare C. Long-term care insurance D. Exclusive provider organization (EPO) E. Medicaid - CORRECT ANSWER B, E
Rationale: identify that state licensing boards are responsible for ensuring that healthcare providers and agencies comply with state regulations. Ch. 1) A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse classify as tertiary care? (Select all that apply) A. Intensive care unit B. Oncology treatment center C. Burn center D. Cardiac rehabilitation E. Home health care - CORRECT ANSWER A, B, C Rationale: tertiary healthcare involves the provision of specialized and highly technical care (icu, oncology treatment center, and burn centers) Ch. 2) A nurse is caring for a group of clients on a medicalsurgical unit. For which of the following client care needs should the nurse initiate a referral for a social worker? (Select all that apply.) A. A client who has terminal cancer requests hospice care in the home. B. A client asks about community resources available for older adults. C. A client states, "I would like to have my child baptized before surgery." D. A client requests an electric wheelchair for use after discharge. E. A client states, "I do not understand how to use a nebulizer." - CORRECT ANSWER A, B, D Rationale:
A. initiate a referral for a social worker to provide information and assistance in coordinating hospice care for a patient B. Initiate a referral for a social worker to provide information and assistance in coordinating care for community resources available for clients D. Initiate a referral for a social worker to assist the client in obtaining medical equipment for use after discharge Ch. 2) A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the interprofessional care team? A. Social worker B. Certified nursing assistant C. Registered dietitian D. Occupational therapist - CORRECT ANSWER D Rationale: an occupational therapist can assist clients who have physical challenges to use adaptive devices and strategies to help with self-care activities Ch. 2) A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the medication prescribed for pain management. Which of the following members of the interprofessional care team can assist the client in understanding the medication's effects? (Select all that apply.) A. Provider B. Certified nursing assistant C. Pharmacist D. Registered nurse
A. Bathing B. Ambulating C. Toileting D. Determining pain level E. Measuring vital signs - CORRECT ANSWER A, B, C, E Rationale: it is within the range of function for a CNA to provide basic care to patients (bathing, assisting with ambulation, assisting with toileting, measuring and recording vital signs) Ch. 4) A nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells the client that diapers will be used next time the urinal is used improperly. Which of the following torts is the AP committing? A. Assault B. Battery C. False imprisonment D. Invasion of privacy - CORRECT ANSWER A Rationale: by threatening the client, the AP is committing a salt. The AP's threats could make the client become fearful and apprehensive. Ch. 4) A nurse is caring for a competent adult client who tells the nurse, "I am leaving the hospital this morning whether the doctor discharges me or not." The nurse believes that this is not in the client's best interest, and prepares to administer a PRN sedative medication the client has not requested along with the scheduled
morning medication. Which of the following types of tort is the nurse about to commit? A. Assault B. False imprisonment C. Negligence D. Breach of confidentiality - CORRECT ANSWER B Rationale: administering a medication as a chemical restraint to keep the client from leaving the facility against medical advice is false imprisonment, because the client neither requested nor consented to receiving the sedative. Ch. 4) A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for surgery the following week. The client tells the nurse that "I plan to prepare my advance directives before I come to the hospital." Which of the following statements made by the client should indicate to the nurse an understanding of advance directives? A. "I'd rather have my brother make decisions for me, but I know it has to be my wife." B. "I know they won't go ahead with the surgery unless I prepare these forms." C. "I plan to write that I don't want them to keep me on a breathing machine." D. "I will get my regular doctor to approve my plan before I hand it in at the hospital." - CORRECT ANSWER C Rationale: The patient has the right to decide and specify which medical procedures he wants when a life-threatening situation arises. Ch. 4) A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the
Ch. 5) A nurse is preparing information for a change-of-shift report. Which of the following information should the nurse include in the report? A. Input and output for the shift B. Blood pressure from the previous day C. Bone scan scheduled for today D. Medication routine from the medication administration record - CORRECT ANSWER C Rationale: The bone scan is important because the nurse might have to modify the clients care to accommodate leaving the unit Ch. 5) A nurse manager is discussing the HIPAA Privacy Rule with a group of newly hired nurses during orientation. Which of the following information should the nurse manager include? (Select all that apply.) A. A single electronic records password is provided for nurses on the same unit. B. Family members should provide a code prior to receiving client health information. C. Communication of client information can occur at the nurses' station. D. A client can request a copy of their medical record. E. A nurse can photocopy a client's medical record for transfer to another facility. - CORRECT ANSWER B, C, D, E Rationale: B. The HIPAA privacy rule states that information should only be disclosed to authorized individuals to whom the client has provided consent. Many hospitals use a code system that identifies these individuals and should only provide information if the individual can give the code
C. The HIPAA privacy rule states that communication about a client should only take place in a private setting we're on authorized individuals cannot overhear it. A unit nurses station is considered a private and secure location. D. The HIPAA privacy rule states that clients have a right to read and obtain a copy of their medical record E. The HIPAA privacy rule states that nurses can only photocopy a clients medical record if it is to be used for transfer to another facility or provider Ch. 5) A charge nurse is reviewing documentation with a group of newly licensed nurses. Which of the following legal guidelines should be followed when documenting in a client's record? (Select all that apply.) A. Cover errors with correction fluid, and write in the correct information. B. Put the date and time on all entries. C. Document objective data, leaving out opinions. D. Use as many abbreviations as possible. E. Wait until the end of the shift to document. - CORRECT ANSWER B, C Rationale: B. The date and time confirm the recording of the correct sequence of events C. Documentation must be factual, descriptive, and objective, without opinions or criticism Ch. 3) A nurse is caring for a client who decides not to have surgery despite significant blockages of the coronary arteries. The nurse understands that this client's choice is an example of which of the following ethical principles?
B. Autonomy C. Justice D. Nonmaleficence - CORRECT ANSWER C Rationale: justice is fairness in care delivery and in the use of resources. By applying the same qualifications to all potential kidney transplant recipients, organ procurement organizations demonstrate this ethical principle in determining the allocation of these scarce resources Ch. 3) A nurse questions a medication prescription as too extreme in light of the client's advanced age and unstable status. The nurse understands that this action is an example of which of the following ethical principles? A. Fidelity B. Autonomy C. Justice D. Nonmaleficence - CORRECT ANSWER D Rationale: Non-malfeasance is a commitment to do no harm. In this situation, administering the medication could harm the patient. By questioning it, the nurse is demonstrating the ethical principle Ch. 3) A nurse is instructing a group of newly licensed nurses about how to know and what to expect when ethical dilemmas arise. Which of the following situations should the newly licensed nurses identify as an ethical dilemma? A. A nurse on a medical-surgical unit demonstrates signs of chemical impairment B. A nurse overhears another nurse telling an older adult client that if he does not stay in bed, she will have to apply restraints C.
A family has conflicting feelings about the initiation of enteral tube feedings for their father who is terminally ill D. A client who is terminally ill hesitates to name their partner on their durable power of attorney form - CORRECT ANSWER C Rationale: making the decision about initiating enteral tube feedings is an example of an ethical dilemma. A review of scientific data cannot resolve the issue, and it is not easy to resolve. The decision will have a profound effect on the situation and on the client. Ch. 5) A nurse is discussing occurrences that require completion of an incident report with a newly licensed nurse. Which of the following should the nurse include in the teaching (SATA) A. Medication error B. Needlesticks C. Conflict with provider and nursing staff D. Omission of prescription E. Missed specimen collection of a prescribed laboratory test - CORRECT ANSWER A, B, D Rationale: complete an incident report regarding a medication error, a needlestick, and omission of a prescription Ch. 5) A nurse is receiving a provider's prescription by telephone for morphine for a client who is reporting moderate to severe pain. Which of the following nursing actions are appropriate? (SATA) A. Repeat the details of the prescription back to the provider B. Have another nurse listen to the telephone prescription C. Obtain the provider's signature on the prescription within 24 hours
